Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $144.54	Facility		$134.90	$134.90	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $257.04	Professional		$128.82	$151.36	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $316.23 / $316.23	Facility		$79.43	$316.23	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $169.82	Professional		$144.54	$144.54	$169.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $2,238.72	Professional		$1,548.82	$2,238.72	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $251.19 / $389.05	Facility		$134.90	$251.19	$389.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $302.00	Professional		$131.83	$162.18	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $234.42	Professional		$229.09	$229.09	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $234.42 / $398.11	Facility		$134.90	$234.42	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $169.82	Professional		$144.54	$144.54	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $204.17 / $316.23	Facility		$112.20	$204.17	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $208.93	Professional		$112.20	$165.96	$208.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23